<HTML>
<BODY>
<FORM METHOD="POST" ACTION="FormDataValidationWithErrorCount.php">
<H1>Contact Information</H1>
<TABLE>

<TR>
  <TD><B>Nickname:</B></TD>
  <TD><INPUT TYPE="TEXT" NAME="nickname"></TD>
</TR>

<TR>
  <TD><B>First Name:</B></TD>
  <TD><INPUT TYPE="TEXT" NAME="firstname"></TD>
</TR>

<TR>
  <TD>Middle Name:</TD>
  <TD><INPUT TYPE="TEXT" NAME="middlename"></TD>
</TR>

<TR>
  <TD><B>Last Name:</B></TD>
  <TD><INPUT TYPE="TEXT" NAME="lastname"></TD>
</TR>

<TR>
  <TD><B>Primary Email:</B></TD>
  <TD><INPUT TYPE="TEXT" NAME="email"></TD>
  <TD WIDTH="20">&nbsp;</TD>
  <TD>Secondary Email:</TD>
  <TD><INPUT TYPE="TEXT" NAME="secondaryemail"></TD>
</TR>

<TR>
  <TD></TD>
  <TD><INPUT TYPE="TEXT" NAME="officeaddress2"></TD>
</TR>

<BR>
<BR>
<BR>
<INPUT TYPE="SUBMIT" VALUE="Submit">
<BR>
<BR>
<INPUT TYPE="RESET"  VALUE="Clear the Form">

</FORM>
</BODY>
</HTML>